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QUAIL CREST IMAGING LLC NPI 1104214816


NPI Information

NPI: 1104214816
Provider Name: QUAIL CREST IMAGING, LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
4830 QUAIL CREST PL STE B
LAWRENCE, KS
ZIP 66049
Phone: (785) 856-0117
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QUAIL CREST IMAGING, LLC is a periodontics dentist in Lawrence, KS. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. QUAIL CREST IMAGING, LLC NPI is 1104214816. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4830 QUAIL CREST PL STE B
LAWRENCE, KS
ZIP 66049-842
Phone: (785) 856-0117
Fax: (785) 856-5082

The provider's authorized official is Gretchen Edwards .
The authorized official title is Office Manager and has the following contact phone number (785) 856-0117.

The enumeration date for this NPI number is 1/5/2015 and was last updated on 1/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental Hygienist1885KANSASNo
21223E0200XDentistEndodontics6944KANSASNo
31223P0300XDentistPeriodontics60071KANSASNo
41223P0300XDentistPeriodontics6357KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.